Bosman, Susan Christa
Bosman, Susan Christa is an individual health care provider with primary practice located at 500 Se Washington Ave. Optional, Chehalis WA 98532. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bosman, Susan Christa can be contacted via phone (360) 507-8032.Contact Information
Primary practice address
500 Se Washington Ave. Optional
Chehalis WA 98532
Phone: (360) 507-8032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | RN00124390 | Washington |
Profile Details
| NPI number | 1003486598 |
|---|---|
| LBN Legal business name | Bosman, Susan Christa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2021 |
| Last updated | Jun 28th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003486598 | NPPES |
| Washington | MEDICAID | 2077844 |
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